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Individual
MRS. MELINDA GONZALES
Active
Individual
MRS. MELINDA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
SU9226619
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111630
—
OH
Enumeration date
12/15/2014
Last updated
11/10/2020
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